Update of NEXT OF KIN ~ BENEFICIARY / LEGAL HEIR for all officers and ratings in Gearbulk To ensure that we have the correct information, we require all OB employees to fil inthis form. Please always inform you agency regarding changes of Next of Kin ~ Beneficiary / Legal hel, emportant: If Beneficiary / Legal heir different from next of kin, please state this in this document, Definition ‘ext of Kin: The individual who should be contacted in the event of serious ilness or injury ‘Beneficiary / Legal heir: The legal Beneficiary / Legal heir who should receive the benefit of any compensation, Vessel: Kite ARROW Rank: DECK CADET Date of bith 27 ‘| OCS Number: 52650. Address: Sisaya Kiran’ Covonty Barr, CHAMBAGIHAT, Mobile: 8629827028 Sova, HP 173213 | Beall Ninn L TAWA OGMAL NEXT OF KIN: Fist Name: Syn LastName: Rona Date of birth 25 - 07-1971 [AS Sunsn Kian Covony | omemanbs F166 4960 wR, A Work Bauiea, CHAMBAGHAT, |e erenuapzo Souan , HP — 173212 Reiners oe, Email: Unit. JASWAL BDAIRTEL «| Beneficiary. yE57NO NEXT OF KIN 3: ae bus otras 471-06. ame Date ofbinh: 21-06-2973 MorHes Adee Suimya Kian Covoty| gone mes 821929 22.4 Home: Bawra, CHAMBAGHAT, Soran, He —17A213 BENEFIC! LEGAL HEIR: First Name: SUNIL. Last Name: KuAR Date of bith: 25-07-1971 ‘Address Surya Kwan Covony pee CHaMeArciwaT, | Wak opiesuaaeo LAN, HP 173213 | mall; Suni TASWALGeratee| COM DATEL 1 ya have alse one borate ta eet mere compensation io each, A 13-11-2020 wih ‘ Date Seaman's Signature